SHISEIDO PERFECT REFINING FOUNDATION D10- octinoxate and titanium dioxide cream 
SHISEIDO PERFECT REFINING FOUNDATION D20- octinoxate and titanium dioxide cream 
SHISEIDO PERFECT REFINING FOUNDATION D30- octinoxate and titanium dioxide cream 
SHISEIDO AMERICA INC.

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

----------

SHISEIDO PERFECT REFINING FOUNDATION (D10, D20, D30)

Drug Facts

ACTIVE INGREDIENTS:Purpose
OCTINOXATE 2.9%Sunscreen
TITANIUM DIOXIDE 5.8%Sunscreen

Use

Warnings

For external use only

Do not use on damaged or broken skin

When using this product keep out of eyes. Rinse with water to remove.

Stop use and ask a doctor if rash occurs

Keep out of reach of children. If product is swallowed, get medical help or contact a Poison Control Center right away.

Directions

For sunscreen use:

Inactive Ingredients

WATER, DIMETHICONE, CYCLOMETHICONE, NYLON-12, SD ALCOHOL 40-B, DIETHYLHEXYL SUCCINATE, GLYCERIN, LAURYL PEG-9 POLYDIMETHYLSILOXYETHYL DIMETHICONE, PEG-10 DIMETHICONE, ERYTHRITOL, XYLITOL, POLYGLYCERYL-2 DIISOSTEARATE, PEG/PPG-36/41 DIMETHYL ETHER, SODIUM HYALURONATE, LAVANDULA ANGUSTIFOLIA (LAVENDER) OIL, PAEONIA ALBIFLORA ROOT EXTRACT, ALUMINUM HYDROXIDE, ALUMINUM DISTEARATE, TRISODIUM EDTA, DISTEARDIMONIUM HECTORITE, POLYSILICONE-2, VINYL DIMETHICONE/METHICONE SILSESQUIOXANE CROSSPOLYMER, BUTYLENE GLYCOL, TOCOPHEROL, DIPENTAERYTHRITYL HEXAHYDROXYSTEARATE, BARIUM SULFATE, SODIUM METABISULFITE, BHT, METHICONE, TETRADECENE, HYDROGEN DIMETHICONE, ALUMINA, PHENOXYETHANOL, BENZOIC ACID, IRON OXIDES, ZINC OXIDE, MICA, TITANIUM DIOXIDE,

Other information

Questions or comments?

Call toll free 1-800-906-7503

SHISEIDO AMERICA INC.
NEW YORK, N.Y. 10022

PRINCIPAL DISPLAY PANEL - 30mL D 10 Tube Carton

SHISEIDO

D 10

Perfect Refining
Foundation

All-Day Flawless,
Optimal Moisture

BROAD SPECTRUM
SPF 15
sunscreen

30mL 1 FL. OZ.

PRINCIPAL DISPLAY PANEL - 30mL D 10 Tube Carton

PRINCIPAL DISPLAY PANEL - 30mL D 20 Tube Carton

SHISEIDO

D 20

Perfect Refining
Foundation

All-Day Flawless,
Optimal Moisture

BROAD SPECTRUM
SPF 15
sunscreen

30mL 1 FL. OZ.

PRINCIPAL DISPLAY PANEL - 30mL D 20 Tube Carton

PRINCIPAL DISPLAY PANEL - 30mL D 30 Tube Carton

SHISEIDO

D 30

Perfect Refining
Foundation

All-Day Flawless,
Optimal Moisture

BROAD SPECTRUM
SPF 15
sunscreen

30mL 1 FL. OZ.

PRINCIPAL DISPLAY PANEL - 30mL D 30 Tube Carton
SHISEIDO PERFECT REFINING FOUNDATION  D10
octinoxate and titanium dioxide cream
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:52686-277
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OCTINOXATE (UNII: 4Y5P7MUD51) (OCTINOXATE - UNII:4Y5P7MUD51) OCTINOXATE983 mg  in 33.9 g
TITANIUM DIOXIDE (UNII: 15FIX9V2JP) (TITANIUM DIOXIDE - UNII:15FIX9V2JP) TITANIUM DIOXIDE1966 mg  in 33.9 g
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
DIMETHICONE (UNII: 92RU3N3Y1O)  
CYCLOMETHICONE (UNII: NMQ347994Z)  
NYLON-12 (UNII: 446U8J075B)  
FERRIC OXIDE RED (UNII: 1K09F3G675)  
FERRIC OXIDE YELLOW (UNII: EX438O2MRT)  
FERROSOFERRIC OXIDE (UNII: XM0M87F357)  
DIETHYLHEXYL SUCCINATE (UNII: 69W9UMG3P8)  
GLYCERIN (UNII: PDC6A3C0OX)  
PEG-10 DIMETHICONE (600 CST) (UNII: 8PR7V1SVM0)  
ERYTHRITOL (UNII: RA96B954X6)  
XYLITOL (UNII: VCQ006KQ1E)  
ALUMINUM HYDROXIDE (UNII: 5QB0T2IUN0)  
ALUMINUM DISTEARATE (UNII: 7P1HP1B9UI)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
EDETATE TRISODIUM (UNII: 420IP921MB)  
PEG/PPG-36/41 DIMETHYL ETHER (UNII: GZ406N3R9F)  
HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
BUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
.ALPHA.-TOCOPHEROL (UNII: H4N855PNZ1)  
ZINC OXIDE (UNII: SOI2LOH54Z)  
MICA (UNII: V8A1AW0880)  
DIPENTAERYTHRITYL HEXAHYDROXYSTEARATE (UNII: 74J1X57U42)  
BARIUM SULFATE (UNII: 25BB7EKE2E)  
SODIUM METABISULFITE (UNII: 4VON5FNS3C)  
LAVENDER OIL (UNII: ZBP1YXW0H8)  
PAEONIA LACTIFLORA ROOT (UNII: 3Z3866YW6P)  
BUTYLATED HYDROXYTOLUENE (UNII: 1P9D0Z171K)  
METHICONE (20 CST) (UNII: 6777U11MKT)  
TETRADECENE (UNII: FW23481S7S)  
ALUMINUM OXIDE (UNII: LMI26O6933)  
BENZOIC ACID (UNII: 8SKN0B0MIM)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:52686-277-601 in 1 CARTON02/01/2011
133.9 g in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart35202/01/2011
SHISEIDO PERFECT REFINING FOUNDATION  D20
octinoxate and titanium dioxide cream
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:52686-278
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OCTINOXATE (UNII: 4Y5P7MUD51) (OCTINOXATE - UNII:4Y5P7MUD51) OCTINOXATE983 mg  in 33.9 g
TITANIUM DIOXIDE (UNII: 15FIX9V2JP) (TITANIUM DIOXIDE - UNII:15FIX9V2JP) TITANIUM DIOXIDE1966 mg  in 33.9 g
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
DIMETHICONE (UNII: 92RU3N3Y1O)  
CYCLOMETHICONE (UNII: NMQ347994Z)  
NYLON-12 (UNII: 446U8J075B)  
FERRIC OXIDE RED (UNII: 1K09F3G675)  
FERRIC OXIDE YELLOW (UNII: EX438O2MRT)  
FERROSOFERRIC OXIDE (UNII: XM0M87F357)  
DIETHYLHEXYL SUCCINATE (UNII: 69W9UMG3P8)  
GLYCERIN (UNII: PDC6A3C0OX)  
PEG-10 DIMETHICONE (600 CST) (UNII: 8PR7V1SVM0)  
ERYTHRITOL (UNII: RA96B954X6)  
XYLITOL (UNII: VCQ006KQ1E)  
ALUMINUM HYDROXIDE (UNII: 5QB0T2IUN0)  
ALUMINUM DISTEARATE (UNII: 7P1HP1B9UI)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
EDETATE TRISODIUM (UNII: 420IP921MB)  
PEG/PPG-36/41 DIMETHYL ETHER (UNII: GZ406N3R9F)  
HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
BUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
.ALPHA.-TOCOPHEROL (UNII: H4N855PNZ1)  
ZINC OXIDE (UNII: SOI2LOH54Z)  
MICA (UNII: V8A1AW0880)  
DIPENTAERYTHRITYL HEXAHYDROXYSTEARATE (UNII: 74J1X57U42)  
BARIUM SULFATE (UNII: 25BB7EKE2E)  
SODIUM METABISULFITE (UNII: 4VON5FNS3C)  
LAVENDER OIL (UNII: ZBP1YXW0H8)  
PAEONIA LACTIFLORA ROOT (UNII: 3Z3866YW6P)  
BUTYLATED HYDROXYTOLUENE (UNII: 1P9D0Z171K)  
METHICONE (20 CST) (UNII: 6777U11MKT)  
TETRADECENE (UNII: FW23481S7S)  
ALUMINUM OXIDE (UNII: LMI26O6933)  
BENZOIC ACID (UNII: 8SKN0B0MIM)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:52686-278-601 in 1 CARTON02/01/2011
133.9 g in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart35202/01/2011
SHISEIDO PERFECT REFINING FOUNDATION  D30
octinoxate and titanium dioxide cream
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:52686-279
Route of AdministrationTOPICAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OCTINOXATE (UNII: 4Y5P7MUD51) (OCTINOXATE - UNII:4Y5P7MUD51) OCTINOXATE983 mg  in 33.9 g
TITANIUM DIOXIDE (UNII: 15FIX9V2JP) (TITANIUM DIOXIDE - UNII:15FIX9V2JP) TITANIUM DIOXIDE1966 mg  in 33.9 g
Inactive Ingredients
Ingredient NameStrength
WATER (UNII: 059QF0KO0R)  
DIMETHICONE (UNII: 92RU3N3Y1O)  
CYCLOMETHICONE (UNII: NMQ347994Z)  
NYLON-12 (UNII: 446U8J075B)  
FERRIC OXIDE RED (UNII: 1K09F3G675)  
FERRIC OXIDE YELLOW (UNII: EX438O2MRT)  
FERROSOFERRIC OXIDE (UNII: XM0M87F357)  
DIETHYLHEXYL SUCCINATE (UNII: 69W9UMG3P8)  
GLYCERIN (UNII: PDC6A3C0OX)  
PEG-10 DIMETHICONE (600 CST) (UNII: 8PR7V1SVM0)  
ERYTHRITOL (UNII: RA96B954X6)  
XYLITOL (UNII: VCQ006KQ1E)  
ALUMINUM HYDROXIDE (UNII: 5QB0T2IUN0)  
ALUMINUM DISTEARATE (UNII: 7P1HP1B9UI)  
PHENOXYETHANOL (UNII: HIE492ZZ3T)  
EDETATE TRISODIUM (UNII: 420IP921MB)  
PEG/PPG-36/41 DIMETHYL ETHER (UNII: GZ406N3R9F)  
HYALURONATE SODIUM (UNII: YSE9PPT4TH)  
BUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
.ALPHA.-TOCOPHEROL (UNII: H4N855PNZ1)  
ZINC OXIDE (UNII: SOI2LOH54Z)  
MICA (UNII: V8A1AW0880)  
DIPENTAERYTHRITYL HEXAHYDROXYSTEARATE (UNII: 74J1X57U42)  
BARIUM SULFATE (UNII: 25BB7EKE2E)  
SODIUM METABISULFITE (UNII: 4VON5FNS3C)  
LAVENDER OIL (UNII: ZBP1YXW0H8)  
PAEONIA LACTIFLORA ROOT (UNII: 3Z3866YW6P)  
BUTYLATED HYDROXYTOLUENE (UNII: 1P9D0Z171K)  
METHICONE (20 CST) (UNII: 6777U11MKT)  
TETRADECENE (UNII: FW23481S7S)  
ALUMINUM OXIDE (UNII: LMI26O6933)  
BENZOIC ACID (UNII: 8SKN0B0MIM)  
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:52686-279-601 in 1 CARTON02/01/2011
133.9 g in 1 TUBE; Type 0: Not a Combination Product
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
OTC monograph not finalpart35202/01/2011
Labeler - SHISEIDO AMERICA INC. (782677132)
Establishment
NameAddressID/FEIBusiness Operations
SHISEIDO AMERICA INC.782677132manufacture(52686-277, 52686-278, 52686-279) , analysis(52686-277, 52686-278, 52686-279)

Revised: 12/2018
Document Id: 7d6c1ae4-17b5-44f9-e053-2a91aa0af3fd
Set id: 233b175b-4bc1-4ca2-b7e7-7b884e09244a
Version: 2
Effective Time: 20181219
 
SHISEIDO AMERICA INC.